| Revive Recovery Inc. | |
|
263 Main St Nashua NH 03060-2936 | |
| (603) 793-2884 | |
| Not Available |
| Full Name | Revive Recovery Inc. |
|---|---|
| Speciality | Clinic/center - Recovery Care |
| Location | 263 Main St, Nashua, New Hampshire |
| Authorized Official Name and Position | Jessica Kearns (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6038823616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Recovery Inc. 77 Northeastern Blvd Ste C Nashua NH 03062-3128 Ph: (603) 882-3616 | Revive Recovery Inc. 263 Main St Nashua NH 03060-2936 Ph: (603) 793-2884 |
| NPI Number | 1699293852 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 09/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699293852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Primary |
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